| NPI | 1932179561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KS 04-44558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 46175) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 04-44558) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-11-16 |